Individual
KELLY ANN GANTOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5761 E PALM OASIS ST, PALM SPRINGS, CA 92264-6430
(760) 835-5768
Mailing address
5761 E PALM OASIS ST, PALM SPRINGS, CA 92264-6430
(760) 835-5768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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